Banca de DEFESA: UBIRATAN MATIAS DE QUEIROGA JÚNIOR

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : UBIRATAN MATIAS DE QUEIROGA JÚNIOR
DATE: 24/11/2025
TIME: 09:00
LOCAL: Google Meet
TITLE:

Care Pathways for Overweight and Obesity in Brazil’s Unified Health System: Knowledge Systematization and Tool Development to Support Care Organization

KEY WORDS:

Care Pathway for Overweight and Obesity. Chronic Care Model. Systems for Obesity Management. Health Policy, Planning and Administration.

PAGES: 90
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

INTRODUCTION: Overweight is a chronic condition and one of the main challenges faced by Brazil’s Unified Health System (SUS). As a strategy to organize care for people living with overweight and obesity, the Ministry of Health established the Care Pathways for Overweight and Obesity (CPOO). However, more than a decade after the publication of the first national guidelines, not all Brazilian states have formalized their pathways, suggesting weaknesses in the implementation of this strategy. OBJECTIVE: To analyze the scientific literature on CPOO within the SUS and to develop a checklist to support the evaluation and elaboration of state and regional Care Pathways. METHODS: The study was conducted in two stages. The first stage consisted of an exploratory rapid scoping review, following the methodologies proposed by the Joanna Briggs Institute and PRISMA-ScR, with evidence synthesis carried out through SWOT analysis. The second stage involved the development of a checklist for the assessment and improvement of CPOO, based on documentary review, followed by evaluation by an Expert Committee using the Content Validity Index (CVI). RESULTS: The literature search identified 1,136 records, from which 26 documents were selected. The SWOT analysis revealed as strengths of the CPOO the multiprofessional approach, user protagonism, and continuing education practices; as opportunities, national policies and programs, intersectoral initiatives, and the use of information technology; as weaknesses, management challenges, insufficient infrastructure, and gaps in professional training and practice; and as threats, limited funding, obesity being treated as an “invisible” condition, and the persistence of stigma and weight bias in health services. Based on the documentary review, the instrument titled “Checklist for Quality Verification and Support to the Elaboration of State and Regional Care Pathways for People with Overweight and Obesity” was developed. In the evaluation by the Expert Committee, all proposed items were deemed valid, and the checklist achieved an overall CVI > 0.80. The final version of the instrument includes 47 items distributed across eight domains: Population Identification; Responsibilities and Mapping of Available Structure; Care Delivery across Points of Attention, Regulation and Care Flows; Clinical Protocols and Therapeutic Guidelines; Monitoring and Evaluation; Continuing Education; Financing; and Critical Points and Improvement Needs. CONCLUSION: The literature review provided an overview of the strengths and weaknesses of the CPOO, highlighting the need to incorporate this topic into planning and management tools and to expand the research agenda on Care Pathways. The validated checklist represents a practical tool with the potential to support the improvement and evaluation of CPOO and to enhance the quality of care for people living with obesity.

COMMITTEE MEMBERS:
Interna - 3055811 - ANA CARINE ARRUDA ROLIM
Interna - 1692571 - ANNA CECILIA QUEIROZ DE MEDEIROS
Externa à Instituição - ERIKA CARDOSO DOS REIS